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. 2019 Dec 18;2019(12):CD011016. doi: 10.1002/14651858.CD011016.pub2

Gilbard 2008.

Methods Study design: randomized, parallel‐group, controlled trial
Study site(s): not reported if single‐ or multi‐center
Number randomized (total and per group): 61 participants
Unit of randomization (individual or eye): not reported
Exclusions after randomization: not reported
Losses to follow‐up: not reported
Number analyzed (total and per group): not reported
Unit of analysis (individual or eye): not reported
Reported power calculation? (Y/N): N
Reported subgroup analysis? (Y/N): N
Participants Baseline characteristics
Country: not reported
Age (mean ± SD, range): not reported
Gender: not reported
Inclusion criteria:
1. Sjögren’s syndrome
Exclusion criteria: not reported
Equivalence of baseline characteristics? (Y/N): N
Interventions Intervention #1 (treatment group): omega‐3 supplement (TheraTears Nutrition), containing fish oil 1600 mg (with EPA 450 mg and DHA 300 mg) and flaxseed oil 1000 mg
Intervention #2 (control group): placebo ‐ wheat germ oil (dose not reported)
Length of follow‐up: not reported
Notes: none
Outcomes Primary and secondary outcome measures were not clearly distinguished
Outcomes specified: percentage change from baseline in symptoms of dry eye; symptoms of dry mouth; unstimulated and stimulated salivary flow
Adverse events reported? (Y/N): N
Measurement time points (specify intervals at which outcomes were assessed): not reported
Other issues with outcome assessment (eg, quality control for outcomes, if any): none
Notes Study dates: not reported
Funding source(s): not reported
Conflicts of interest: not reported
Publication language: English
Registered on clinical trials registry? (Y/N): N
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of random sequence generation was not reported
Allocation concealment (selection bias) Unclear risk Allocation concealment was not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Masking of participants and personnel was not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Masking of outcome assessors was not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Numbers randomized to each group, lost to follow‐up, and excluded were not reported
Selective reporting (reporting bias) Unclear risk No access to study protocol or clinical trials registry
Other bias Unclear risk This study was published in abstract form only, and further publication was not identified